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Utilization Review Nurse - Remote - Contract
HireOps Staffing LLC
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Dallas, TX, 75215
... RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan. This Position Is Responsible For Performing Accurate And Timely Medical Review Of ... - Apr 29
Licensed Practical Nurse (LPN) - Utilization Review
The Arora Group
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Bethesda, MD, 20811
... The Contractor shall frequently collaborate with managers of the UBO, Utilization Review Registered Nurse (RN) and pre-certification clerk. The Contractor shall interact with members of the Third Party Collections (TPC) team (i.E. Financial billers) ... - Apr 10
Utilization Review Licensed Practical Nurse
Hines & Associates Inc
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Rockford, IL, 61101
... RESPONSIBILITIES AND PERFORMANCE: Completes first level reviews within the scope of practice relevant to the clinical area(s) addressed in the initial clinical review. General Medical-Surgical nursing is sufficient to be relevant to the clinical ... - May 07
Director, Utilization Management
Alameda Health System
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Oakland, CA
... Lead and manage a team of utilization review professionals providing guidance, training, and performance evaluations. Monitor and evaluate the utilization of healthcare services, including appropriateness, efficiency, and medical necessity of ... - May 08
Registered Nurse (RN) Intermediate Medical Care (IMC)
Meadowview Regional Medical Center
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Bentonville, OH, 45105
Registered Nurse (RN), Intermediate Care Job Type: PRN Shift varies Who We Are: People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. Meadowview Regional Medical Center is a 100-bed, acute ... - May 08
Utilization Review Professional
MemorialCare
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Long Beach, CA
Title: Utilization Review Professional Location: Long Beach Department: OPSC Utilization Mgmt MCH OP Status: Full-time Shift: Day Pay Range*: $43.97/hour - $36.76/hour MemorialCare is a nonprofit integrated health system that includes four leading ... - May 07
Internal Medicine Physician - Utilization Review - Remote
Provider Healthcare
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Phoenix, AZ
Job Description Must be Board Certified in Internal Medicine or Family Medicine Need recent inpatient experience Must have 5 years of clinical experience post residency Must have a clean medical record/backgroundCompany Description Provider... - May 08
Utilization Specialist
Summitbhc
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Williamsburg, VA
... Coordinates, performs, and monitors all utilization review/management activities of the hospital to continuously improve the ... · Current licensure as an LPN or RN or current clinical professional license or certification, as required, within the state ... - May 06
Local Contract Travel RN Case Manager (Utilization Review)
Host Healthcare
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White Plains, NY, 10606
Host Healthcare is seeking a local contract nurse RN Case Management for a local contract nursing job in White Plains, New York. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 05/19/2025 Duration: 13 weeks 38 ... - May 04
RN - Utilization Review / Discharge Planning
ZipRecruiter
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Fairfax, CA, 94978
Job Description RN Case Manager with Utilization Review and Discharge Planning experience needed to support hospital system in Greenbrae, CA. Housing, travel, benefits offered to the qualified candidate. Company DescriptionContinuum Medical Staffing ... - Apr 29